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Posttraumatic stress disorder and substance use in inner-city adolescent girls.
J Nerv Ment Dis. 2003 Nov; 191(11):714-21.JN

Abstract

The purpose of this study is to examine rates of nicotine, marijuana, and alcohol use as well as patterns of problematic substance use and posttraumatic stress disorder (PTSD) symptoms in inner-city adolescent girls. One hundred four adolescents who obtained medical care at a hospital-based adolescent clinic were systematically surveyed for trauma exposure, posttraumatic stress symptoms, and substance use. A subset (N = 54, 52%) of girls completed a semistructured psychiatric diagnostic interview (K-SADS-PL) to ascertain timing of PTSD symptoms relative to substance use. Compared with traumatized girls without PTSD, girls with full and partial PTSD were significantly more likely to use nicotine, marijuana, and/or alcohol on a regular basis. Fifteen girls met criteria for both PTSD and a substance-use disorder. For 80% of these girls, the age of onset of PTSD was either before or concurrent with the onset of their substance-use disorder. Inner-city adolescent girls with PTSD exhibit problematic substance use and may be at high risk of developing a comorbid substance-use disorder.

Authors+Show Affiliations

Lipschitz DS
Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA.
Rasmusson AM
No affiliation info available
Anyan W
No affiliation info available
Gueorguieva R
No affiliation info available
Billingslea EM
No affiliation info available
Cromwell PF
No affiliation info available
Southwick SM
No affiliation info available

MeSH

AdolescentAdultComorbidityDiagnostic and Statistical Manual of Mental DisordersFemaleHumansLife Change EventsSeverity of Illness IndexStress Disorders, Post-TraumaticSubstance-Related DisordersSurveys and QuestionnairesUrban Population

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

14614338

Citation

Lipschitz, Deborah S., et al. "Posttraumatic Stress Disorder and Substance Use in Inner-city Adolescent Girls." The Journal of Nervous and Mental Disease, vol. 191, no. 11, 2003, pp. 714-21.
Lipschitz DS, Rasmusson AM, Anyan W, et al. Posttraumatic stress disorder and substance use in inner-city adolescent girls. J Nerv Ment Dis. 2003;191(11):714-21.
Lipschitz, D. S., Rasmusson, A. M., Anyan, W., Gueorguieva, R., Billingslea, E. M., Cromwell, P. F., & Southwick, S. M. (2003). Posttraumatic stress disorder and substance use in inner-city adolescent girls. The Journal of Nervous and Mental Disease, 191(11), 714-21.
Lipschitz DS, et al. Posttraumatic Stress Disorder and Substance Use in Inner-city Adolescent Girls. J Nerv Ment Dis. 2003;191(11):714-21. PubMed PMID: 14614338.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Posttraumatic stress disorder and substance use in inner-city adolescent girls. AU - Lipschitz,Deborah S, AU - Rasmusson,Ann M, AU - Anyan,Walter, AU - Gueorguieva,Ralitza, AU - Billingslea,Eileen M, AU - Cromwell,Polly F, AU - Southwick,Steven M, PY - 2003/11/14/pubmed PY - 2004/1/14/medline PY - 2003/11/14/entrez SP - 714 EP - 21 JF - The Journal of nervous and mental disease JO - J Nerv Ment Dis VL - 191 IS - 11 N2 - The purpose of this study is to examine rates of nicotine, marijuana, and alcohol use as well as patterns of problematic substance use and posttraumatic stress disorder (PTSD) symptoms in inner-city adolescent girls. One hundred four adolescents who obtained medical care at a hospital-based adolescent clinic were systematically surveyed for trauma exposure, posttraumatic stress symptoms, and substance use. A subset (N = 54, 52%) of girls completed a semistructured psychiatric diagnostic interview (K-SADS-PL) to ascertain timing of PTSD symptoms relative to substance use. Compared with traumatized girls without PTSD, girls with full and partial PTSD were significantly more likely to use nicotine, marijuana, and/or alcohol on a regular basis. Fifteen girls met criteria for both PTSD and a substance-use disorder. For 80% of these girls, the age of onset of PTSD was either before or concurrent with the onset of their substance-use disorder. Inner-city adolescent girls with PTSD exhibit problematic substance use and may be at high risk of developing a comorbid substance-use disorder. SN - 0022-3018 UR - https://www.unboundmedicine.com/medline/citation/14614338/Posttraumatic_stress_disorder_and_substance_use_in_inner_city_adolescent_girls_ DB - PRIME DP - Unbound Medicine ER -